Artigo Acesso aberto Produção Nacional Revisado por pares

Binswanger's disease and quantitative fractional anisotropy

2009; Thieme Medical Publishers (Germany); Volume: 67; Issue: 2a Linguagem: Inglês

10.1590/s0004-282x2009000200002

ISSN

1678-4227

Autores

Eliasz Engelhardt, Denise Madeira Moreira, Gilberto Sousa Alves, Maria Elisa Lanna, Carlos Eduardo de Oliveira Alves, Letice Ericeira-Valente, Felipe Kenji Sudo, Jerson Laks,

Tópico(s)

Congenital gastrointestinal and neural anomalies

Resumo

To study the integrity of the white matter in Binswanger's disease (BD) patients with quantitative fractional anisotropy (DTI-FA).Controls (12) and patients with BD (12) were included. Scans performed with MR (GE Signa Horizon/1.5T). Fazekas's score=6 with white matter hyperintensities extension >75% assessed on FLAIR scans. Standard parameters for DTI-FA were used. ROIs placed in symmetrical regions on two axial planes, data pooled in anterior (frontal) and posterior (temporo-parieto-occipital) regions. Analysis with Functool. Statistics for anterior and posterior regions comparison.DTI-FA showed reduction of anisotropy, reflecting axonal damage and demyelination of fibers, more prominent in anterior in relation to posterior region, in BD patients in comparison to controls.Loss of integrity of fiber tracts reflects interruption of neural networks that subserve cognitive, behavioral, and motor integration. The more severely affected frontal region is related to executive dysfunction, a characteristic feature of Binswanger's disease.

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